Analiza Gamboa Fajardo, OTR/L in Ottawa, IL - Medicare Occupational Therapist Provider

Analiza Gamboa Fajardo, OTR/L is a medicare enrolled "Occupational Therapist - Gerontology" provider in Ottawa, Illinois. Her current practice location is 505 College Ave, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 433-1130.

Analiza Gamboa Fajardo is licensed to practice in Illinois (license number 056.008331) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659514560.

Contact Information

	Analiza Gamboa Fajardo, OTR/L
	505 College Ave, Ottawa, IL 61350-3865
	(815) 433-1130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Analiza Gamboa Fajardo
Gender	Female
Speciality	Occupational Therapist - Gerontology
Location	505 College Ave, Ottawa, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659514560
Provider Enumeration Date: 04/08/2009
Last Update Date: 04/08/2009

Medicare PECOS Information:

PECOS PAC ID: 5991155707
Enrollment ID: I20231220000480

Medical Identifiers

Medical identifiers for Analiza Gamboa Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659514560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XG0600X	Occupational Therapist - Gerontology	056.008331 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Analiza Gamboa Fajardo allows following entities to bill medicare on her behalf.

Provider Name	Next Pt Group Florida, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730666355 PECOS PAC ID: 3173865607 Enrollment ID: O20190501002988

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Analiza Gamboa Fajardo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Analiza Gamboa Fajardo, OTR/L 1920 Old Springville Rd, Suite 104, Birmingham, AL 35215-5858 Ph: (205) 572-0658	Analiza Gamboa Fajardo, OTR/L 505 College Ave, Ottawa, IL 61350-3865 Ph: (815) 433-1130

Reviews and Comments

Occupational Therapist in Ottawa, IL

Krista M Lieser, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1306 Gemini Cir, Suite 3, Ottawa, IL 61350 Phone: 815-431-9980 Fax: 815-431-9981
Mrs. Tatum Schilling, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5313
Jodi Washkowiak, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1306 Gemini Cir, Ste 3, Ottawa, IL 61350 Phone: 815-431-9980 Fax: 815-431-9981
Angelica Briones, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100
Dixie Devry, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2532 Reynolds Manor, Ottawa, IL 61350 Phone: 815-228-3086
Misael S Briones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1418 Sioux Dr, Ottawa, IL 61350 Phone: 815-431-0013
Jenna Porter, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5230

Analiza Gamboa Fajardo, OTR/L - Medicare Occupational Therapist in Ottawa, IL